| NPI | 1770153553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER LEE ANDERSON Owner 956-238-9044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2023-08-01 |